Kotlarek F, Zeumer H, Schütz E
Klin Padiatr. 1981 Jan;193(1):35-8. doi: 10.1055/s-2008-1034425.
31 out of 128 infants with abnormal neurological signs show areas of decreased radiodensity of computed tomography (CT) over the cerebral hemispheres, primarily frontal. It is emphasized, that the diagnosis of subdural effusions is permitted in cases with decreased density over the frontal lobes and hardly visible cerebral sulci as well as wedge-shaped widening of the interhemispheric fissure. But in cases with decreased density over the frontal regions and prominent cerebral sulci a subdural effusion cannot be excluded. In association with signs of increased intracranial pressure these CT findings are yet indicative of subdural effusion. Are there to delimitate two spaces of different density between skull and cortex the diagnosis of subdural effusion is certain already by means of CT-morphological criteria. The therapeutic regimen is dependent upon the clinical symptoms.
128例有神经系统异常体征的婴儿中,31例的计算机断层扫描(CT)显示大脑半球,主要是额叶,放射性密度降低区域。需要强调的是,额叶密度降低、脑沟几乎不可见以及大脑镰楔形增宽的情况下可诊断为硬膜下积液。但额叶区域密度降低且脑沟明显的情况下不能排除硬膜下积液。结合颅内压升高的体征,这些CT表现仍提示硬膜下积液。如果在颅骨和皮质之间界定出两个不同密度的间隙,仅通过CT形态学标准就可确诊硬膜下积液。治疗方案取决于临床症状。